Vanessa Dennard

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

10000 Coors Byp NW Ste E1
Albuquerque, NM 87114-4055

Phone

(505) 677-0988

Fax

(505) 808-4942

NPI assigned

Sep 23, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lilly'S Internal Light, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1073128351
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1063135093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45281",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871745281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 COORS BYP NW STE E1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144055",
            "telephone_number": "505-677-0988",
            "fax_number": "505-808-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNARD",
        "first_name": "VANESSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60808543",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cambria Chavez Denger
• David A. Dengler, D.C.
• Tamara Dengler, M.S, CCC-SLP
• Cindy Nicole Denham, LCSW
• Radha Marie Denmark, CNP
• Vivian Dennard, LMT
• Korinna Leigh Dennehey, LPCC
• Daxton Denney
• Dennis Abernathy Inc.
• Brian K Dennis, DDS

• Peer Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Peer Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.